2024-10-15T15:27:59-04:00 2023-11-30 520783935 SMITH ELLIOTT KEARNS & COMPANY LLC 19 BROOKWOOD AVE STE 101 CARLISLE PA 17015 990 2022-12-01 521516829 TRI-STATE COMMUNITY HEALTH CENTER TRI- 3016785187 109 RAYLOC DRIVE HANCOCK MD 21750 SUSAN WALTER CEO 3016787256 2024-10-14 true false GREGORY P HALL CPA P00156653 7172439104 2024-10-14 2022 2024-10-15 13:58:12Z SUSAN WALTER 109 RAYLOC DRIVE HANCOCK MD 21750 14613587 false X WWW.TSCHC.ORG X 1987 MD TRI-STATE COMMUNITY HEALTH CENTER IS A NONPROFIT COMMUNITY HEALTH CENTER PROVIDING AFFORDABLE HEALTH CARE TO PEOPLE OF ALL AGES IN THE COMMUNITY REGARDLESS OF THEIR ABILITY TO PAY. 9 9 187 0 4527051 4150041 10221375 10309226 35149 154320 0 14783575 14613587 0 0 9872679 10982409 0 0 4796175 4549768 14668854 15532177 114721 -918590 17700954 16748087 1043346 985793 16657608 15762294 TRI-STATE COMMUNITY HEALTH CENTER IS A NONPROFIT COMMUNITY HEALTH CENTER PROVIDING AFFORDABLE HEALTH CARE TO PEOPLE OF ALL AGES IN THE COMMUNITY REGARDLESS OF THEIR ABILITY TO PAY. false false 11241350 10309226 TO PROVIDE MEDICAL AND HEALTH CARE SERVICES TO MEMBERS OF THE COMMUNITY REGARDLESS OF THEIR ABILITY TO PAY. 11241350 true true false false false false false false false false true false false false true true true false false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true 23 0 true 187 true false false false false false false false false false false false false X 9 9 false false false false false false false true true false false false true true true true true true true false PA MD X SHEILA DESHONG 3016785187 109 RAYLOC DRIVE HANCOCK MD 21750 ELEN OTT PRESIDENT 1.00 X X 0 0 0 RAMANI PILLAI VICE PRESIDE 1.00 X X 0 0 0 RICHARD STRAIT TREASURER 1.00 X X 0 0 0 MARY RACEY SECRETARY 1.00 X X 0 0 0 LEE BEEMAN BOARD MEMBER 1.00 X 0 0 0 WILLIAM GARLITZ BOARD MEMBER 1.00 X 0 0 0 RICK COOPER BOARD MEMBER 1.00 X 0 0 0 BETH LAYMAN BOARD MEMBER 1.00 X 0 0 0 BAILEY WILSON BOARD MEMBER 1.00 X 0 0 0 SUSAN WALTER CEO 40.00 X 167155 0 19297 SHEILA DESHONG COO/CFO 40.00 X 154957 0 20551 SURENDRANATH P EKANAYAKE PHYSICIAN 40.00 X 443439 0 50739 MATTHEW D PILKERTON PHYSICIAN 40.00 X 151968 0 19373 RAYMOND E BANFER PHYSICIAN 40.00 X 145616 0 33131 LIZA D HILES PHYSICIAN 40.00 X 230075 0 46508 TERRY E HARVEY CRNP 40.00 X 147646 0 33036 1440856 222635 20 false true false CLEANING SPACES 24 ARROWHEAD RIDGE HEDGESVILLE WV 25427 CLEANING 130430 1 4124956 25085 4150041 PATIENT SERVICE FEES 621110 7158188 7158188 PHARMACY PROGRAM 621110 3135729 3135729 MISC REVENUE 621110 15309 15309 10309226 154320 154320 14613587 10309226 154320 394768 394768 8222888 5868771 2354117 372973 265440 107533 1364901 859195 505706 626879 422130 204749 3450 3450 78065 78065 841637 745678 95959 13250 13250 29612 29612 144197 144197 4442 146 4296 5149 215 4934 232705 226595 6110 36258 36258 SUPPLIES 1377312 1275635 101677 FEES 340B 673676 673676 EQUIPMENT RENTAL & MAINTE 504983 377335 127648 TELEPHONE 239902 196708 43194 365130 156017 209113 15532177 11241350 4290827 0 710 710 11134936 10334459 353106 2963737 3415652 10000 10000 201557 90326 6896288 5094825 1973288 1801463 1063620 1095477 17700954 16748087 830271 742346 176733 235417 36342 8030 1043346 985793 X 16649284 15753970 8324 8324 16657608 15762294 17700954 16748087 -918590 23276 X X false true X true true false X 3742879 3096247 7987380 4527051 4129941 23483498 3742879 3096247 7987380 4527051 4129941 23483498 23483498 66209 37555 22207 35149 154320 315440 23798938 48687223 0.98670 0.98960 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 138884 138884 4979482 3321990 1657492 24250 24250 1710114 1710114 43558 38471 5087 1801463 CAPITAL LEASE PAYABLE/CURRENT 8030 8030 X 14613587 14613587 14613587 15532177 15532177 15532177 SCHEDULE D, PAGE 3, PART X THE CENTER IS A NOT-FOR-PROFIT CORPORATION ORGANIZED UNDER THE PROVISIONS OF THE NON-PROFIT LAWS OF THE COMMONWEALTH OF PENNSYLVANIA AND THE STATE OF MARYLAND. THE CENTER HAS RECEIVED A RULING FROM THE INTERNAL REVENUE SERVICE THAT IT IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND FILES A FORM 990, "RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX". THE FORMS 990 ARE GENERALLY SUBJECT TO EXAMINATION FOR A PERIOD OF THREE YEARS AFTER THE RETURNS ARE FILED. THE CENTER IS CLASSIFIED AS A PUBLIC CHARITY. X X false false false false false false false false false SUSAN WALTER CEO 166655 500 6714 12583 186452 SHEILA DESHONG COO/CFO 154457 500 7811 12740 175508 SURENDRANATH P EKANAYAKE PHYSICIAN 409939 33500 14187 36552 494178 MATTHEW D PILKERTON PHYSICIAN 131237 20731 6660 12713 171341 RAYMOND E BANFER PHYSICIAN 145116 500 7172 25959 178747 LIZA D HILES PHYSICIAN 229575 500 11750 34758 276583 TERRY E HARVEY CRNP 147146 500 7500 25536 180682 FORM 990, PAGE 6, PART VI, LINE 11B THE FORM 990 IS PRESENTED TO THE GOVERNING BODY AT THE MONTHLY MEETING BEFORE IT IS FILED. IF THE FORM 990 IS NOT AVAILABLE IN TIME FOR THE MONTHLY MEETING, THEN IT IS SENT ELECTRONICALLY TO THE GOVERNING BODY FOR REVIEW. FORM 990, PAGE 6, PART VI, LINE 12C DIRECTORS ARE UNDER AN OBLIGATION TO DISCLOSE ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST AS SOON AS IT IS KNOWN. AT THE TIME AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST ARISES, THE DIRECTOR SHALL REPORT IT TO THE BOARD PRESIDENT AND EXCUSE THEMSELVES FROM FURTHER INVOLVEMENT IN THE ISSUE. FORM 990, PAGE 6, PART VI, LINE 15A THE SALARY OF THE CEO IS BASED ON THE MARKET LEVEL SALARY OF SIMILAR ORGANIZATIONS, BASED ON SIZE AND BUDGET. FORM 990, PAGE 6, PART VI, LINE 15B SALARIES ARE BASED ON THE MARKET LEVEL SALARY OF SIMILAR ORGANIZATIONS, BASED ON SIZE AND BUDGET. FORM 990, PAGE 6, PART VI, LINE 19 TRI-STATE COMMUNITY HEALTH CENTER DOES NOT MAKE AVAILABLE TO THE PUBLIC THEIR GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS. FORM 990, PAGE 12, PART XII, LINE 3B ORGANIZATION IS IN THE PROCESS OF ENGAGEING AN INDEPENDENT CPA FIRM TO CONDUCT THE EXAMINATION. TRI-STATE HEALTH CARE FOUNDATION 109 RAYLOC DRIVE HANCOCK MD 21750 521664036 FUNDRSNG MD 3 12A TRI-STATE false false false false false false false false false false false false false false false false false false false false